registration Form

For Ellerslie Kids pen pals

Completing the information below will register your child as a pen pal to be matched with a primetime pen pal.

    All fields are required.

    Family Information:

    Pen Pal Participant Information:

    Use the + button above to add more campers

    Consent

    I hereby give permission for my child(ren), , to take part and receive the advantages of Ellerslie Road Baptist Church's Pen Pal Ministry. I understand that my child's contact information will be shared with their pen pal adult for communication purposes and I recognize it is my responsibility to monitor my child's interactions with this adult. I recognize that there are risks inherent in any church program and I waive, hold harmless, or indemnify Ellerslie Road Baptist Church, its instructors, paid or volunteer staff, successors, heirs and assigns from any action.

    Guardian's Printed Name
    Guardian's Signature


    Date


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